NPIMap

Organization Active NPI

Vibrantcare Outpatient Rehabilitation of California Inc

Doing business as VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Castro Valley, CA
National Provider Identifier
1083618573
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC
Doing business as
VibrantCare Rehabilitation
Practice address
20996 Redwood Rd
Castro Valley, CA 94546-5918
Phone
(510) 537-0272
Fax
(510) 537-5819
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Smith
Title
Ceo
Phone
(916) 782-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

20996 Redwood Rd
Castro Valley, CA 94546-5918

Mailing address

PO Box 840343
Los Angeles, CA 90084-0343
Phone (916) 789-8115

Other names 1

  • VibrantCare Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020926000020 CA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9234046962 Practice locations: Castro Valley, CA; San Ramon, CA; Hayward, CA; Livermore, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083618573. Details of each certification follow.

  • CCN 056865 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 056865

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VIBRANTCARE REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 28, 1998
Last certification
Aug 3, 2020
Ownership / control type
Proprietary
Most recent change of ownership
Oct 31, 2001
Facility address
20996 Redwood Road
Castro Valley, CA 94546

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Vibrantcare Outpatient Rehabilitation of California Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations (25 of 27)

1255 Racquet Club Dr
Auburn, CA 95603
Phone (530) 889-0388

250 Elm Ave
Auburn, CA 95603
Phone (530) 889-2411

3581 Palmer Dr
Ste 501
Cameron Park, CA 95682
Phone (530) 677-7485

5910 Auburn Blvd
Ste 17
Citrus Heights, CA 95621
Phone (916) 727-9300

10601 S De Anza Blvd
#214
Cupertino, CA 95014
Phone (408) 996-2220

2575 E Bidwell St
Ste 150
Folsom, CA 95630
Phone (916) 276-7828

2275 Las Positas Rd
Livermore, CA 94551
Phone (925) 960-9101

15215 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-1990

965 E Yosemite Ave
Ste 14
Manteca, CA 95336
Phone (209) 823-3736

1316 Coffee Rd
Ste C1
Modesto, CA 95355
Phone (201) 521-6073

937 Coffee Rd
Ste 900
Modesto, CA 95355
Phone (209) 496-9003

1333 N McDowell Blvd
Ste B
Petaluma, CA 94954
Phone (707) 762-2660

5000 Pleasanton Ave
Ste 200
Pleasanton, CA 94566
Phone (510) 793-6655

4990 Rocklin Rd
Ste 200
Rocklin, CA 95677
Phone (916) 632-2273

2921 El Camino Ave
Sacramento, CA 95821
Phone (916) 483-4884

3800 J St
Ste 100
Sacramento, CA 95816
Phone (916) 329-9210

2400 Del Paso Rd
Ste 132
Sacramento, CA 95834
Phone (916) 886-2940

690 Industrial Rd
San Carlos, CA 94070
Phone (650) 592-6682

602 E Santa Clara St
Ste 100
San Jose, CA 95112
Phone (408) 918-0855

5595 Winfield Blvd
Ste 206
San Jose, CA 95123
Phone (408) 225-3344

899 Northgate Dr
Ste 306
San Rafael, CA 94903
Phone (415) 444-5101

548 Ocean St
Santa Cruz, CA 95060
Phone (831) 423-0755

1973 N Tracy Blvd
Tracy, CA 95376
Phone (209) 833-9490

179 Elmira Rd
Ste F
Vacaville, CA 95687
Phone (707) 392-2016

1646 S Court St
Visalia, CA 93277
Phone (559) 586-6767

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1083618573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840343",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840343",
            "telephone_number": "916-789-8115",
            "fax_number": "916-773-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20996 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465918",
            "telephone_number": "510-537-0272",
            "fax_number": "510-537-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-782-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VibrantCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VibrantCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.